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NPI Code Detail

MEDICARE: AARON C MCCOLPIN NP

MEDICARE: AARON C MCCOLPIN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner18934CA

General Provider Information

NPI Number : 1447236336
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON C MCCOLPIN NP
Provider Business Mailing Address
First Line : PO BOX 4749
Second Line :
City : MEDFORD
State : OR
Zip : 97501-0227
Country : US
Telephone Number : 541-789-5516
Fax Number : 541-789-5518
Provider Business Practice Location Address
First Line : 400 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4353
Country : US
Telephone Number : 805-377-2471
Fax Number : 805-377-2471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 06/14/2023

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